CBD for Arthritis: Is There Efficacy?

Written by: Daniel Fayad, Subject Matter Expert and Website President
Published: March 15, 2024; Last updated: April 6, 2024

Are you struggling with arthritis pain? CBD for Arthritis has caught the attention of many seeking relief. This article delves into the evidence behind CBD’s potential to ease the discomfort of Arthritis, examines its role in symptom management, and offers insight into selecting a safe and effective product.

Key Takeaways

• Arthritis affects 54 million Americans, causing joint pain, physical and psychological distress, and potential joint damage if left untreated.¹

• CBD has emerged as a potential treatment for arthritis pain relief, showing promise in reducing pain intensity and improving physical function and sleep quality despite the need for more research and caution.

• Choosing a quality CBD product involves checking for third-party lab testing, certification for low THC content, and ensuring product safety from contaminants while being mindful of drug interactions and the complex legal landscape.

• Important! Speak with your medical doctor before incorporating CBD into your arthritis treatment!

Understanding Arthritis and Its Impact on Life

Arthritis, the acute or chronic inflammation of joints, currently affects 54 million Americans, with women disproportionately impacted. This condition, manifesting as persistent joint pain, not only restricts physical activities but also inflicts psychological distress. Rheumatoid Arthritis, a severe and potentially debilitating variant, typically strikes adults in their sixties, potentially leading to:

• severe joint damage if left untreated

• fatigue and weakness

• loss of appetite

• fever

• swollen joints

• morning stiffness

It is important to seek medical attention and treatment for rheumatoid Arthritis to manage symptoms and prevent further joint damage.

The pain experienced by people living with arthritis is chronic and often debilitating, significantly diminishing their quality of life. Beyond the physical torment, the emotional toll is equally challenging. The everyday activities taken for granted by many, such as opening a jar or climbing a flight of stairs, become increasingly difficult, if not impossible, for those with Arthritis.

Dr. Jane Smith, an associate professor specializing in rheumatic diseases, clarifies, “Arthritis is more than just joint pain. It’s a complex interplay of inflammation and pain that can lead to permanent joint damage if not addressed promptly. An effective treatment for Arthritis can reduce inflammation and pain and prevent further health effects.”

The Various Faces of Arthritis

Arthritis is a multi-faceted disease with over 100 different types and related conditions. The two most common forms of Arthritis are Osteoarthritis (OA) and Rheumatoid Arthritis (RA). They both affect the joints and can cause pain and stiffness. Osteoarthritis, often the result of joint injury or overuse, typically afflicts older adults, particularly women, and is most commonly seen in the knees, hips, spine, and hands.

On the other hand, Rheumatoid Arthritis is a chronic inflammatory disease that can lead to severe joint and tissue damage if untreated. Psoriatic Arthritis, while less prevalent, affects approximately 0.3% to 1% of the global population and up to 30% of individuals with psoriasis. Psoriatic Arthritis is characterized by swelling, stiffness, and pain in and around the joints, which can result in permanent damage without early and aggressive treatment.

Despite their differences, all these types of Arthritis can result in chronic joint pain and the risk of permanent joint damage, often leading to chronic pain. Recognizing the specific type of Arthritis you or your loved one is grappling with is the first stage in formulating an extensive care plan.

Symptoms That Arthritis Sufferers Experience

Arthritis symptoms can be as diverse as the types of the disease. The common thread, however, is the presence of joint pain, stiffness, swelling, and redness, often affecting both sides of the body in a symmetrical pattern. These symptoms can worsen over time, spreading to more joints and leading to fatigue, poor sleep quality, loss of appetite, and depressive symptoms.

Psoriatic arthritis patients may experience unique symptoms such as psoriasis plaques, swollen fingers or toes known as dactylitis, and nail changes, alongside fatigue and anemia. The cumulative effect of these symptoms can severely impede an individual’s physical function, significantly impairing the ability to perform daily activities.

One key aspect to remember is that Arthritis is not exclusively an ‘old person’s disease.’ It can affect anyone at any age, and its impact can be significant. Early detection and suitable treatment can help control symptoms, prevent additional joint damage, and enhance the quality of life for people with Arthritis.

CBD: A Potential Ally Against Arthritis Pain

Amid the myriad of traditional treatment options for Arthritis, CBD has emerged as a potential ally to relieve arthritis pain. CBD use is associated with improvements in arthritis symptoms, leading to reductions in other medications. Patients using CBD reported:

• A 44% reduction in numerical pain score, equating to a 2.58-point reduction¹

• Notable reductions in pain intensity

• Improved physical function

• Better sleep quality

This suggests a positive correlation between higher CBD use and these improvements.

CBD, short for cannabidiol, is a natural compound derived from the Cannabis sativa plant, which is also a source of medical cannabis. Unlike its cousin compound, THC (tetrahydrocannabinol), CBD does not produce the ‘high’ associated with cannabis. Instead, it’s been increasingly recognized for its potential therapeutic benefits, particularly its anti-inflammatory properties. Some potential benefits of CBD include:

• Reducing inflammation

• Alleviating symptoms of Arthritis or joint pain

• Relieving anxiety and stress

• Improving sleep quality

• Managing epilepsy and seizures

It’s important to note that more research is needed to understand CBD’s effects and potential benefits fully.

While the research shows potential, much of it is still in the early stages. Preclinical studies, including laboratory and animal research, suggest that CBD might be a promising treatment for arthritis pain, but conclusive evidence requires human studies. As the exploration of CBD’s potential benefits for Arthritis continues, a cautious approach and informed decisions are vital.

How CBD Interacts with the Body

Comprehending how CBD interacts with the body is vital to grasp its potential for alleviating arthritis pain. Our bodies harbor a specialized system known as the endocannabinoid system (ECS), which is crucial for pain control and modulation of nociception, which aids in alleviating certain pain levels.

Cannabinoids, such as CBD, can modulate pain directly within synovial joints where the ECS is present, fulfilling a regulatory role in inflammation and pain perception within these structures. CBD, without the psychoactive effects of THC, has demonstrated anti-inflammatory, antinociceptive, and antioxidant properties, suggesting its utility in treating conditions like Arthritis.

In simple terms, CBD may help ‘dampen’ the body’s response to pain and inflammation, offering relief for those suffering from chronic arthritis pain. As we continue to learn more about the intricacies of the ECS and how CBD interacts with it, we may unlock even more potential benefits of this versatile compound.

Research Highlights: CBD’s Effectiveness in Pain Management

The potential effectiveness of CBD for pain management in arthritis treatment is supported by a growing body of research. Studies have shown that patients with osteoarthritis reported improved physical function, and an average of 44% reduction in pain was observed after CBD use.¹

CBD use among individuals treating Arthritis has led to the following benefits:

• Over 60% of patients reported a reduction or discontinuation of opioids, acetaminophen, or anti-inflammatories.

• Many patients using CBD for arthritis pain have reported subjective improvements in symptoms such as pain and sleep quality.

• Anecdotal evidence shows dramatic improvements in arthritis symptoms with CBD use.

Despite these encouraging findings, it’s important to note that most of the research has been on animals. Animal studies and comprehensive reviews have corroborated CBD’s anti-inflammatory and pain-relieving properties, although human studies are still required for conclusive validation.

As we wait for more robust clinical trials, the anecdotal evidence and animal studies present a promising picture of CBD’s potential in managing arthritis pain.

Choosing Your CBD Product: Safety and Efficacy

When selecting a CBD product for Arthritis, safety and efficacy should be your priorities. Given the absence of federal regulation, opting for products that adhere to good manufacturing practices, as set by the FDA for pharmaceuticals or dietary supplements, is advisable. Verifying the safety and efficacy of CBD products can be done through a certificate of analysis from an independent lab with standardized testing methods.

Given the high cost of quality CBD products, users should verify their effectiveness on symptoms before investing in regular use. Consulting healthcare providers is crucial for individuals considering CBD for Arthritis to prevent drug interactions with existing medications.

The landscape of CBD products is vast and varied, with no established medical consensus on who may benefit from CBD, the appropriate dosage, or the best form of application. These factors highlight the need for greater investment in quality clinical research.

Types of CBD Products Available

CBD products come in various forms, each with distinct advantages and considerations. Oral CBD products, such as capsules, gummies, cookies, oils, and tinctures, can be ingested or taken under the tongue. Full-spectrum CBD products contain a complete array of cannabinoids, including THC, and are offered in balm, cream, salve, oil, and capsule form.

Broad-spectrum CBD includes various cannabinoids but excludes THC, and these products come in the form of oils, gummies, and topical creams. CBD isolate is the purest form of CBD, free from other cannabinoids, and is used in products such as bath soaking salts.

Whether you prefer an oil, a gummy, or a topical cream, there’s a CBD product out there to suit your needs. Remember, each method of administration offers distinct advantages and considerations for managing pain.

What to Look for in Quality CBD Products

Choosing a quality CBD product involves careful consideration. Third-party lab testing by an ISO 17025-compliant lab provides an unbiased analysis of a CBD product’s contents. Certificates of Analysis (COAs) should be readily available, demonstrating no more than 0.3% THC content and safety from contaminants.

Additionally, CBD products should be made in the U.S. with domestically grown ingredients to ensure compliance with agricultural standards. The source of hemp used in CBD products should be U.S.-grown, ideally organic, to ensure compliance with standards on THC limits.

Accurate product labeling is critical to ensure consumers are not exposed to significant variations in CBD and THC levels. Products with elevated THC levels can lead to unwanted psychoactive effects and legal issues, emphasizing the need for accurate THC content indication. Lastly, the potency of CBD should be clearly stated on the product label, helping consumers make informed decisions.

Risks and Considerations When Using CBD for Arthritis

While CBD shows promise for those dealing with Arthritis, awareness of potential risks and considerations is essential. Common side effects of CBD include fatigue, lethargy, and, in rare cases, diarrhea, with topical CBD having fewer instances of side effects. Known risks of CBD for the general population include liver toxicity, extreme sleepiness, and harmful interactions with other drugs.

Due to the current absence of concrete clinical guidelines for using CBD to treat Arthritis, the medical community is still evaluating its safety and potential drug interactions. It’s also worth noting that some individuals with Arthritis may not notice improvements in their symptoms when taking CBD.

The FDA has expressed concerns regarding the safety of CBD, particularly regarding untested drugs potentially having unpredictable and unintended consequences. Therefore, it’s crucial to discuss any plans to incorporate CBD into your arthritis care plan with your healthcare provider.

Drug Interactions and Contraindications

When contemplating the use of CBD for Arthritis, it’s essential to be conscious of potential drug interactions and contraindications. Consulting a healthcare provider is essential before using CBD for Arthritis, particularly if taking medications such as corticosteroids, certain antidepressants, or fibromyalgia treatments.

CBD may interact with various drugs, including:

• Corticosteroids

• Tofacitinib

• Naproxen

• Celecoxib

• Tramadol

• Several types of antidepressants

This indicates the need for caution and consultation with a healthcare provider.

In addition, the FDA strongly advises against using CBD, THC, or marijuana in any form during pregnancy or while breastfeeding due to potential risks to the development of the fetus or baby. There is also concern regarding the transfer of CBD and potential contaminants such as:

• THC

• pesticides

• heavy metals

• microbes

To babies through breast milk.

Legal Landscape and Regulation Challenges

The legal landscape for CBD products and medical marijuana can be complex and varies by state. Here are some key points to keep in mind:

• The 2018 U.S. Farm Bill legalized hemp and cannabis products with 0.3% THC or lower by removing them from the definition of marijuana.

• Hemp-derived CBD products are no longer classified as Schedule I drugs federally.

• However, a legal gray zone remains regarding their regulation and status.

Legal status and specific regulations for CBD can vary significantly from state to state, reflecting a fragmented legal landscape for these products. Regulatory challenges persist as the FDA has only approved one CBD product and needs help with overseeing the widespread and unregulated market of CBD products, particularly those available in supermarkets.

It’s crucial to ensure you’re well informed about the laws in your state before purchasing and using CBD products. Even with potential benefits for arthritis pain, the last thing you want is to run against the law.

Incorporating CBD into Your Arthritis Care Plan

Once you’ve navigated through the intricate landscape of CBD products and legalities, you can start considering how to integrate CBD into your arthritis care plan. Arthritis patients who used CBD experienced improvements in pain, physical function, and sleep quality. These findings suggest the potential benefits of CBD for managing arthritis symptoms. The majority of study respondents reported reducing or stopping other pain medications after incorporating CBD into their regimen.

Establishing realistic goals, such as reducing knee pain to increase activity levels, is crucial within the initial weeks of starting CBD treatment. CBD has been an alternative to opioids for some patients, especially post-joint replacement surgery. Still, it should not replace disease-modifying drugs for inflammatory Arthritis and should be discussed with a physician.

Incorporating CBD into your arthritis care plan is a personal journey that requires patience and careful consideration. As with any new treatment, it’s crucial to communicate with your healthcare provider, monitor your symptoms, and adjust your plan as necessary.

Establishing the Right Dosage

Establishing the optimal CBD dosage for Arthritis can involve trial and error. Here are some guidelines to follow:

1. Begin CBD treatment for arthritis pain with a low dose.

2. Gradually increment the dosage to gauge the body’s response and ensure safety.

3. Patients should anticipate a period of trial and error to accurately establish the optimal CBD dosage.

4. Consistent use for up to eight weeks may be necessary to observe benefits.

Consulting with a healthcare provider, especially one experienced in cannabis use, is recommended for determining the most effective dosage of CBD for individual needs. The dosage of CBD can be affected by the form in which it is taken, such as:

• oils

• tinctures

• capsules

• gummies

• topicals

These different forms can change how CBD is measured and its bioavailability to the body.

As you embark on your CBD journey, remember to take it slowly and steadily, keep track of your symptoms, and adjust your dosage as needed under the guidance of your healthcare provider.

Creating a Balanced Approach to Arthritis Treatment

A comprehensive arthritis treatment plan revolves around balance. It can include using CBD with physical therapy, dietary changes, and other prescribed treatments. CBD should be integrated as part of an overall pain management plan for Arthritis, which also prioritizes non-medication options such as exercise and psychological support to maximize treatment benefits.

Patients are recommended to keep a detailed diary of their symptoms and CBD dosage to establish an effective treatment regimen, ensuring necessary adjustments are made in coordination with healthcare professionals. Additional treatment recommendations that can accompany CBD use include:

• Diet and exercise advice.

• Physical therapy.

• Strengthening exercises for joint support.

• Potentially joint bracing.

Creating a balanced approach to arthritis treatment can make all the difference in improving your quality of life. Remember, managing Arthritis is not just about masking the pain but about achieving overall well-being.

Real Stories: Arthritis Patients’ Experiences with CBD

The experiences of arthritis patients with CBD offer insight into the potential benefits of this natural compound. Anecdotal evidence from arthritis patients points to potential benefits of CBD, such as noticeable pain relief, improved sleep, and reduced anxiety. For example, Ron Lev, a rheumatoid arthritis patient, reported reducing his steroid intake after starting CBD oil and eventually found a dosage that maintained his well-being.

A national survey by the Arthritis Foundation indicated that 79% of respondents have used, used, or considered CBD for their arthritis pain management. These personal testimonies highlight the potential of CBD as a complementary treatment for arthritis pain.

However, just as each individual’s experience with Arthritis is unique, so too are their experiences with CBD. Patients often advise newcomers to be patient with CBD treatment and suggest engaging with patient networks for trusted advice and shared experiences.

In the end, what matters most is finding a treatment plan that works best for you. Guidance from Experts: The Arthritis Foundation’s Stance on CBD

The Arthritis Foundation has released the first CBD guidance for adults with Arthritis to assist those considering its use. While emphasizing CBD is not a replacement for disease-modifying treatments for inflammatory Arthritis, the Arthritis Foundation notes some individuals report symptom relief and advises starting with a low dose, incrementally adjusting as needed with professional consultation.

The Arthritis Foundation has called on the FDA to expedite the study and regulation of CBD, reinforcing their commitment to finding new, safe treatment options and addressing challenges patients face in arthritis care. In collaboration with the fatigue research center, the Arthritis Foundation encourages individuals to contribute their personal experiences with Arthritis and CBD through Live Yes! INSIGHTS to help shape future research and advocacy efforts.

As we continue to navigate the evolving landscape of CBD and Arthritis, the Arthritis Foundation CBD guidance provides a valuable resource for patients and healthcare providers.

Summary

Arthritis, a painful condition marked by inflammation of the joints, affects millions worldwide, significantly impacting their quality of life. CBD, a cannabinoid derived from the cannabis plant, has emerged as a potential ally in the fight against arthritis pain. Research and anecdotal evidence suggest that CBD may offer some relief for arthritis symptoms, including chronic pain, reduced physical function, and poor sleep quality.

However, as with any new treatment, it’s important to approach it cautiously. While CBD may offer some individuals relief, it’s not a one-size-fits-all solution. Effective arthritis treatment requires a balanced approach, incorporating physical therapy, dietary changes, and other prescribed treatments alongside CBD. As we await more robust clinical trials and regulatory guidance on CBD, it’s crucial to stay informed, consult with healthcare providers, and make decisions that best support your health and well-being.

Frequently Asked Questions

What can you do for unbearable arthritis pain?

To alleviate unbearable arthritis pain, try applying ice or heat and discuss NSAIDs with a doctor. Seeking help from a specialist can lead to personalized exercises, physical therapy, and medication options to manage the pain effectively.

Does CBD reduce inflammation or just pain?

Yes, CBD can reduce both pain and inflammation, as suggested by research and anecdotal evidence from arthritis patients who have tried it. These effects have not been fully validated in quality human studies, but evidence supports the pain-relieving and anti-inflammatory properties.

What strength of CBD is best for Arthritis?

Start with a low dose of 20 to 40mg of CBD daily and gradually increase over a few weeks until you notice the effects of arthritis relief. Usually, people find pain relief when they take 20 to 35 milligrams of CBD daily.

What is Arthritis, and how does it impact life?

Arthritis is the inflammation of joints, causing persistent pain and restricting physical activities, leading to psychological distress for millions of individuals.

What should I look for in a quality CBD product?

Look for quality CBD products with third-party lab testing and accurate labeling made from U.S.-grown hemp. These factors ensure the product’s safety and potency.

References

Frane, N., Stapleton, E., Iturriaga, C., Ganz, M., Rasquinha, V., & Duarte, R. (2022). Cannabidiol as a treatment for arthritis and joint pain: an exploratory cross-sectional study. Journal of cannabis research, 4(1), 47. https://doi.org/10.1186/s42238-022-00154-9

CBD for arthritis pain: Arthritis foundation. CBD for Arthritis Pain | Arthritis Foundation. (n.d.). https://www.arthritis.org/health-wellness/healthy-living/managing-pain/pain-relief-solutions/cbd-for-arthritis-pain

Written by Daniel Fayad - Subject Matter Expert and Website President

Dan Fayad is a results-driven healthcare administration expert and content writer. With a Master of Health Administration from the University of Southern California, he’s carved a niche for himself in the dynamic world of healthcare and business development. Dan uses his experience to educate and empower people on their wellness journeys.